Organization
INNOVATIVE EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS DEWAYNE TEICHMILLER O.D. (OWNER)
(256) 353-1871
Entity
Organization
Contact information
Practice address
823 6TH AVE SE, DECATUR, AL 35601-3021
(256) 353-1871
(256) 350-2140
Mailing address
823 6TH AVENUE, SE, DECATUR, AL 35601
(256) 353-1871
(256) 350-2140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S718TA087
AL
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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